Abstract:
:Globally, women, experience inequities in access to safe abortion services and this is most acutely felt in country contexts where legal abortions are highly restricted. Data around abortion amongst young women who sell sex (YWSS) in sub-Saharan Africa are very limited. We conducted 30 focus group discussions and 42 in-depth interviews (IDIs) amongst YWSS (16-24 years) in urban and peri-urban areas of Zimbabwe, as well as IDIs amongst 16 peer educators, five health care providers and four key informants. Our findings indicate that abortions occur amongst YWSS in Zimbabwe but there remain questions over the extent of safety of abortions. The restrictive legal context around abortion and illegality of sex work in the country are key determinants underlying the clandestine nature of abortions. Socioeconomic concerns are key in decision-making around abortions. Youth, cost and lack of referral networks contribute towards unsafe abortions, even when safe abortion services are available. Many YWSS are not aware of the availability of post abortion care (PAC) services and resort to self-administered PAC. Being young and selling sex combine and interact on the economic and social levels to produce vulnerabilities greater than their sum to experiencing unsafe abortion.
journal_name
Sex Reprod Health Mattersjournal_title
Sexual and reproductive health mattersauthors
Chareka S,Crankshaw TL,Zambezi Pdoi
10.1080/26410397.2021.1881209keywords:
["Zimbabwe","abortion","post-abortion care","sex workers","social determinants of health","young women who sell sex"]subject
Has Abstractpub_date
2021-12-01 00:00:00pages
1881209issue
1issn
2641-0397journal_volume
29pub_type
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